Role of Imaging in Cardiomyopathies

Author:

Castiglione Vincenzo1,Aimo Alberto1,Todiere Giancarlo2,Barison Andrea1,Fabiani Iacopo2,Panichella Giorgia2,Genovesi Dario2,Bonino Lucrezia2,Clemente Alberto2,Cademartiri Filippo2,Giannoni Alberto1,Passino Claudio1,Emdin Michele1,Vergaro Giuseppe1ORCID

Affiliation:

1. Cardiothoracic Department, Fondazione Toscana Gabriele Monasterio, Pisa, Italy; Health Science Interdisciplinary Center, Scuola Superiore Sant’Anna, Pisa, Italy

2. Cardiothoracic Department, Fondazione Toscana Gabriele Monasterio, Pisa, Italy

Abstract

Imaging has a central role in the diagnosis, classification, and clinical management of cardiomyopathies. While echocardiography is the first-line technique, given its wide availability and safety, advanced imaging, including cardiovascular magnetic resonance (CMR), nuclear medicine and CT, is increasingly needed to refine the diagnosis or guide therapeutic decision-making. In selected cases, such as in transthyretin-related cardiac amyloidosis or in arrhythmogenic cardiomyopathy, the demonstration of histological features of the disease can be avoided when typical findings are observed at bone-tracer scintigraphy or CMR, respectively. Findings from imaging techniques should always be integrated with data from the clinical, electrocardiographic, biomarker, genetic and functional evaluation to pursue an individualised approach to patients with cardiomyopathy.

Publisher

Radcliffe Media Media Ltd

Subject

Cardiology and Cardiovascular Medicine

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